<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">公众号id</label>
            <div class="layui-input-block">
                <input type="text" name="uniacid" class="layui-input"  placeholder="请输入公众号id" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">所属用户id</label>
            <div class="layui-input-block">
                <input type="text" name="user_id" class="layui-input"  placeholder="请输入所属用户id" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">姓氏</label>
            <div class="layui-input-block">
                <input type="text" name="first_name" class="layui-input"  placeholder="请输入姓氏" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">名称</label>
            <div class="layui-input-block">
                <input type="text" name="name" class="layui-input"  placeholder="请输入名称" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">手机号</label>
            <div class="layui-input-block">
                <input type="text" name="mobile" class="layui-input"  placeholder="请输入手机号" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">证件类型</label>
            <div class="layui-input-block">
                <input type="text" name="identity_type" class="layui-input"  placeholder="请输入证件类型" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">证件号码</label>
            <div class="layui-input-block">
                <input type="text" name="identity" class="layui-input"  placeholder="请输入证件号码" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">排序</label>
            <div class="layui-input-block">
                <input type="text" name="sort" class="layui-input"  placeholder="请输入排序" value="0">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">状态</label>
            <div class="layui-input-block">
                {foreach $getStatusList as $k=>$v}
                <input type="radio" name="status" value="{$k}" title="{$v}" {in name="k" value="1"}checked=""{/in}>
                {/foreach}
            </div>
        </div>

        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>